Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Tongue issues after wisdom tooth extraction? I had my upper and lower right wisdom teeth extracted in early July. The lower one was a horizontal impaction embedded in the gums. After the extraction, the right side of my mouth became numb, and I haven't felt anything for over...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a trigeminal nerve disorder, particularly since they occurred after surgery, which could be related to tissue swelling from the procedure. I recommend that you consult an oral surgeon to check for any signs of infection ...[Read More] Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Concerns About Meningitis Risk from Bird Droppings: What You Should Know
Suspected meningitis infection? Hello Doctor: A few days ago, while riding my bike, bird droppings fell on me due to gravity. The droppings first landed on my rearview mirror and then splattered onto the cuff of my jacket, the strap of my backpack, the collar, and the edge of my ...
Dr. Jiang Junyi Reply:
Hello, your questions can be addressed in two parts: avian influenza and cryptococcal meningitis. According to the Centers for Disease Control's reports on avian influenza, cases reported in July occurred in poultry farms in Yunlin and Changhua, and currently, there is no tr...[Read More] Concerns About Meningitis Risk from Bird Droppings: What You Should Know
Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Brain issues Hello Doctor, I have previously detailed my symptoms <a href="https://adoctor.tw/article/146754">#146754</a>. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function te...
Dr. Jiang Junyi Reply:
Hello: The 24-hour urine test you mentioned may be for measuring cortisol levels. Elevated cortisol levels are associated with adrenal tumors, pituitary tumors, or ectopic ACTH-producing tumors. Conditions such as pregnancy, estrogen therapy, and severe stress can also stimulate ...[Read More] Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Head Trauma and Sleep Issues: When to Seek Medical Attention
I would like to inquire about being hit hard on the back of the head and sleep issues? Hello Doctor, here’s the situation: I just had a conflict with my mother at home, and she hit the back of my head twice with her hand. I personally think it was quite hard. After being hit, I f...
Dr. Cai Zongzhang Reply:
Hello, both of the aforementioned symptoms require further examination. It is recommended that you visit a neurologist for evaluation.[Read More] Head Trauma and Sleep Issues: When to Seek Medical Attention
Understanding Early Signs of Dementia: A Guide for Caregivers
Dementia issues Hello, doctor. My grandmother is 75 years old. About six months ago, I noticed that she sometimes forgets things, like when she bought tofu and left it in her scooter, only to realize it the next day. However, this doesn't happen very often, just occasionally...
Dr. Jiang Junyi Reply:
Hello: If you notice any abnormalities in your memory, it is advisable to consult a neurologist for discussion. Alzheimer's disease primarily affects memory function. Generally, the Short Portable Mental Status Questionnaire (SPMSQ) focuses more on orientation and is less ef...[Read More] Understanding Early Signs of Dementia: A Guide for Caregivers
Understanding Unexplained Oral Symptoms: A Neurological Perspective
Please clarify what the issue is? Hello, Dr. Jiang. I have some unusual symptoms. In January, I had my second molar extracted, and since then, I have had an ulcer that has not healed for a month. I have been very worried that it might be something serious. I keep checking my gums...
Dr. Jiang Junyi Reply:
Hello: Because your age group is more susceptible to certain rheumatic and autoimmune diseases, I wonder if you have undergone any examinations related to this. Wishing you good health and peace. Dr. Jiang, Department of Internal Medicine, Taoyuan Hospital, cares about you.[Read More] Understanding Unexplained Oral Symptoms: A Neurological Perspective
Understanding Anxiety and Allergic Reactions to Insect Bites
Mosquito bites, medical consultation, neurological issues? Hello Doctor, I apologize for asking so many questions. I have been experiencing long-term anxiety and am currently undergoing treatment. Due to numerous unfortunate events and injuries in my life, along with my genetic p...
Dr. Jiang Junyi Reply:
Hello: I wonder if you have any wounds on your body when you come into contact with certain substances? Our skin serves as a barrier against external materials. Therefore, after coming into contact with potentially contaminated substances, remember to follow proper handwashing pr...[Read More] Understanding Anxiety and Allergic Reactions to Insect Bites
Insomnia and Weight Training: Understanding the Connection and Solutions
The relationship between insomnia and weight training, as well as management strategies? Hello Dr. Jiang, I usually sleep from 2:00 AM to 10:00 AM. Recently, I've been experiencing occasional difficulties falling asleep, taking about 1 to 2 hours to do so after lying in bed...
Dr. Jiang Junyi Reply:
1. I have been weight training regularly for two years. Although I occasionally experienced insomnia in the past, I am unsure why there seems to be a particularly noticeable causal link between the two recently. Could it be due to overtraining or muscle soreness (delayed onset mu...[Read More] Insomnia and Weight Training: Understanding the Connection and Solutions
Numbness Around the Back of the Head: Possible Causes and Concerns
Numbness near the occipital region? Hello doctor, starting today, I have been experiencing a tingling sensation in my head and face intermittently (sometimes lasting for a long time), primarily around the back of my head and near my cheeks. Could you please tell me what this migh...
Dr. Hong Weibin Reply:
Hello: External stress and irregular lifestyle can often lead to physiological issues, such as excessive fatigue, numbness, pain, and general discomfort. It is recommended that you get plenty of rest and observe whether your condition improves. Wishing you a speedy recovery.[Read More] Numbness Around the Back of the Head: Possible Causes and Concerns
Understanding Neck and Shoulder Pain: Causes and Solutions
Headache and neck and shoulder pain? Hello, doctor... I often have trouble sleeping and experience a lot of stress, which causes me to toss and turn at night and adopt poor sleeping positions. This has led to frequent shoulder and neck pain. A week ago, I woke up with severe sore...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Sometimes, headaches may extend to t...[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Understanding Right Back and Hand Numbness: Causes and Solutions
Numbness in the right upper back? Hello Doctor, I would like to ask if it is possible that my poor sitting posture from long hours of working at a computer is causing my symptoms. Initially, I experienced numbness extending from my right pinky finger to my palm, but it doesn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest compression of the cervical spine at the seventh vertebra and the first thoracic nerve root, leading to numbness extending to the little finger. This could be due to prolonged poor posture while looking down, resulting i...[Read More] Understanding Right Back and Hand Numbness: Causes and Solutions
Could VR Headset Dizziness Indicate a Serious Neurological Condition?
Wearing a VR headset can immediately cause severe dizziness. Could this be a sign of a serious illness? Hello Doctor: I have never played VR (virtual reality) games before, and during my first attempt, after putting on the VR headset, I started feeling dizzy (a spinning sensation...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider panic symptoms caused by past experiences. Additionally, dizziness should also be taken into account, characterized by episodes of vertigo lasting a few seconds, related to changes in head position, such as bending...[Read More] Could VR Headset Dizziness Indicate a Serious Neurological Condition?
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Chronic Left Chest Pain and Persistent Cough: Possible Causes and Solutions
Pain below the left chest, sputum production, and difficulty breathing? I have a female friend who has been experiencing pain below her left chest for several years. She almost constantly produces phlegm, which is often yellow and sometimes white. She feels numbness, and deep bre...
Dr. Jiang Junyi Reply:
Hello: Your friend is suffering from a difficult-to-treat illness. It is advisable to avoid multiple hospital visits and instead find a single medical center to focus on. After all, the physicians at the same hospital will have access to the same diagnostic information, which can...[Read More] Chronic Left Chest Pain and Persistent Cough: Possible Causes and Solutions
Understanding Dizziness: Tension in Head and Neck Muscles Explained
Dizziness with tightness in the muscles around the head and behind the ears? I have been experiencing sudden episodes of dizziness that last for a few seconds over the past few days, whether I am sitting or walking. It feels like my head goes numb, my mind goes blank, and I feel ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of tightness in the back of the neck is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder pain. Initially, restin...[Read More] Understanding Dizziness: Tension in Head and Neck Muscles Explained
Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Autonomic Nervous System Dysregulation Hello Doctor, I would like to consult you. I have been experiencing discomfort in my oral mucosa for a month and a half (since I had my upper left second molar extracted). The symptoms are a burning and stabbing sensation localized to the le...
Dr. Jiang Junyi Reply:
Hello: In addition to considering diseases of the immune system, your symptoms may also suggest trigeminal neuralgia, particularly given your neuropathic pain symptoms that may involve the mandibular branch. According to the International Classification of Headache Disorders, Thi...[Read More] Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Assessing Long-Term Effects of a Baseball Head Injury in Teens
Hit on the head by a falling baseball? I am 18 years old now, but about 6 to 8 years ago, when I was in elementary school, I was hit on the head (slightly towards the back right side) by a hard baseball that was thrown high into the air while playing on the playground. At that mo...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there was no loss of consciousness at the time of the head injury, no use of anticoagulants, or significant local hematoma, the head injury is mostly minor. Common symptoms of brain injury from head trauma typically occur w...[Read More] Assessing Long-Term Effects of a Baseball Head Injury in Teens
Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Numbness in the back? Hello Dr. Jiang, for the past two or three days, I have frequently felt numbness in my right upper back (near the center). When I researched online, some people suggested it might be a cervical spine issue, but I don't seem to have any discomfort in my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider thoracic nerve root compression, as the symptoms are located in the back. However, it is important to consult a physician to investigate the cause of the compression. Generally, cervical nerve root compression is m...[Read More] Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help